Blindskills, Inc.          
Subscription orders and renewals may be faxed, phoned, or mailed to Blindskills, Inc.

Blindskills, Inc.    Back to DIALOGUE        DIALOGUE Order Form (PDF) 
DIALOGUE
P.O. Box 5181
Salem, OR 97304-0181
Phone: 800-860-4224 or 503-581-4224
Fax: 503-581-0178
E-mail: subscribers@blindskills.com
Web site: www.blindskills.com

Subscription/Donation Rates

The annual subscription/donation rate is $35 per format or $7 per issue.
Visa, MasterCard, check and money orders are accepted.

Name: _____________________________________________________

Organization: _____________________________________________

Street: ___________________________________________________

City: _________________________ State, Zip: ___________

Country: _______________

Telephone: _____________________E-mail: ________________

Please indicate the number of subscriptions desired in each format:

Braille: ____ Cassette: ____ Large Print: ____ Email: ____

Total (US Funds): $ ________

VISA/MasterCard: _________________________ Exp. Date: _____

Signature: _________________________________________________

The following item is required by the US Postal Service to document the FREE MATTER eligibility of our readers. This magazine is for the use of a person who is: (Please circle one)

Legally Blind      Deaf/Blind      Sighted


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